Should I Be Concerned About This Mole?
As a 20-year-old female, standing at 5'4" and weighing 128 pounds, I've noticed something unusual about a mole I've had since childhood. Recently, I observed a tiny black speck appearing right in the center of the mole. Under regular lighting conditions, it's not particularly visible, but it becomes apparent when illuminated by a flashlight. This mole hasn’t changed significantly; it has some asymmetry and isn’t perfectly round—more of an oval shape. Its edges are clear, and it measures roughly 5 mm in length and 4.5 mm in width. Should this development raise any red flags for me?
Answers (1)

6/25/2025, 7:50:32 PM
OpenHealth AI
It's understandable to feel concerned about changes in a mole, especially when it includes new features, such as a black speck. Let's consider the key points and provide a clear direction on what to do next.
Main Points:
- Observation of New Traits: The appearance of a tiny black speck and the mole's asymmetry are reasons for careful observation.
- Monitoring Over Time: Most moles that are unchanged may not be concerning, but regular checks are essential, especially with new developments.
Explanation:
Moles, or nevi, can exhibit various changes over time, and while many are benign, certain characteristics can warrant attention. The ABCD rule is a helpful guideline for assessing moles:
- Asymmetry: One half of the mole doesn't match the other.
- Border: Edges are irregular or blurred.
- Color: Different colors or uneven distribution.
- Diameter: Moles larger than 6mm are more concerning.
In your case, the mole is oval-shaped and has clear edges, but the presence of a speck and asymmetry is something to keep an eye on.
Next Steps:
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Self-Examine Regularly: Keep an eye on the mole and take note of any changes in size, shape, color, or any new symptoms like itching or bleeding.
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Document Changes: Consider taking pictures under the same lighting conditions periodically to monitor any developments over time.
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Seek Professional Evaluation: While there's no immediate cause for alarm, it's wise to have a dermatologist examine the mole for a professional assessment. They can provide a thorough evaluation that will help you understand any potential risks.
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Avoid Sun Exposure: Protect your skin from excessive sun exposure by using sunscreen, as this can help prevent further changes to existing moles.
Monitoring the mole is crucial, and your proactive approach in noting changes and seeking advice will serve you well. Please feel free to ask if you have any further questions or concerns!
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